Jeongwoo Kim
Pharmacist in Roslindale, Massachusetts
1467359398- Practice location
- 4600 Washington St, Roslindale, MA 02131-4832
- Phone
- 608-886-6533
- Fax
- —
- Last updated
- October 23, 2026
Jeongwoo Kim is a Pharmacist based in Roslindale, MA. Jeongwoo Kim practices in Roslindale, MA. The NPI Number for Jeongwoo Kim is 1467359398 and holds a License No. PH1004057 (MA). The current practice location address for Jeongwoo Kim is 4600 Washington St, Roslindale, MA 02131-4832 and can be reached out via phone at 608-886-6533.
Provider Profile Details
- NPI Number
- 1467359398
- Provider Name
- Jeongwoo Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4600 Washington St, Roslindale, MA 02131-4832
- Phone Number
- 608-886-6533
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2026
- Last Update Date
- October 23, 2026
- Certification Date
- October 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4600 Washington St
Roslindale, MA 02131-4832 - City
- Roslindale
- State
- Massachusetts
- Zip
- 02131-4832
- Phone Number
- 608-886-6533
Provider Business Mailing Address Details
- Address
- 130 Arsenal St
Watertown, MA 02472-2717 - City
- Watertown
- State
- MA
- Zip
- 02472-2717
- Phone Number
- 608-886-6533
License Information
- License Number
- PH1004057
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Roslindale, MA
View all Pharmacists in Roslindale →Frequently Asked Questions
What is the NPI number of Jeongwoo Kim?
The NPI number of Jeongwoo Kim is 1467359398. It was assigned on October 23, 2026 and is currently active in the NPPES registry.
What is the specialty of Jeongwoo Kim?
Jeongwoo Kim is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH1004057.
Where does Jeongwoo Kim practice?
The practice location is 4600 Washington St, Roslindale, MA 02131-4832. The office can be reached at 608-886-6533 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467359398 directly on the NPPES registry website.